Form 725 (2015)
Page 2
*1500030271*
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
PART III—LLET CREDIT FOR MEMBER
1
1. LLET liability (Part II, the total of lines 4 and 6) .................................................................................
00
2
2. Minimum tax ........................................................................................................................................
175
00
3
3. Member’s LLET credit (line 1 less line 2) ...........................................................................................
00
PART IV—EXPLANATION OF FINAL RETURN AND/OR SHORT–PERIOD RETURN
¨ Ceased operations in Kentucky
¨ Change in filing status
¨ Change of ownership
¨ Merger
¨ Successor to previous business
¨ Other _________________________________________________
PART V—EXPLANATION OF AMENDED RETURN CHANGES
I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying schedules and statements,
and to the best of my knowledge and belief, it is true, correct and complete.
✍
Signature of member (owner)
SSN or FEIN
Date
Printed name of member (owner)
Name of person or firm preparing return
SSN, PTIN or FEIN
Date
May the DOR discuss this return with the preparer?
Federal Schedules C, E and F, and
Yes
No
any other supporting federal forms
Email Address:
and schedules must be attached.
Telephone No.:
Make check payable to:
Kentucky State Treasurer
Mail to:
REFUNDS OR NO TAX DUE
Kentucky Department of Revenue, Frankfort, KY 40618-0010
PAYMENTS
Kentucky Department of Revenue, Frankfort, KY 40620-0020